NFL referee Adrian Hill was carted off the field after suffering a non-contact injury during Thursday night’s game between the Bills and Texans .

In the middle of the third quarter, Hill was positioned in the end zone and was seen jogging to follow a play when he pulled up, grabbing at his left leg and grimacing in pain.

Members of the Texans’ medical staff came out to check on Hill and helped him to the sideline.

NFL ref Adrian Hill is carted off with a leg injury during the Bills-Texans TNF game. #NFL pic.twitter.com/7HlPkaJhTs — Awful Announcing (@awfulannouncing) November 21, 2025

Hill appeared to be standing on the sideline momentarily before a cart was brought to him, and he was taken down the tunnel to the back of NRG Stadium.

The injury led to a shift in how the game wa

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